Abstract

Background

In order to determine how best to tailor outreach messages about poxvirus diagnosis
and infection control for health practitioners, we surveyed infectious disease physicians
in the Infectious Diseases Society of America's Emerging Infections Network.

Findings

Surveys consisting of two unknown case scenarios designed to raise suspicion for monkeypox
and orf were distributed to the 1,080 members of the EIN. The surveys contained questions
pertaining to which diagnostic tests, points of contact, and transmission precautions
they would likely utilize during patient evaluation. Basic response rates and frequencies
of responses were calculated. Comparisons of the survey responses were made using
the chi-square test. Of the 212 members who responded (20% response rate), significantly
more respondents indicated that they would request diagnostic testing in the context
of the monkeypox case scenario as compared to the orf case scenario. A significantly
higher number of respondents indicated they would institute droplet or airborne precautions
for the monkeypox case as opposed to the orf case scenario.

Conclusions

This survey provided an opportunity for public health practitioners to gain insight
into physician approaches to evaluation, diagnosis and reporting of suspected poxvirus-associated
infections. This survey identified key areas in which public health practitioners
can better serve physicians by focusing on education. As a result we were able to
identify potential knowledge gaps and deficits in the availability of useful resources
to facilitate accurate case identification and management.